l# l# l# l# l# l# l# l#
BY SHEILA L. VIDEBECK ISBN-13: 978-1975116378
l# l# l# l# l#
,Chapter l#1
1. The l#nurse l#is l#assessing l#the l#factors l#contributing l#to l#the l#well-being l#of l#a
l#newly l#admitted l # client. l#Which l#of l#the l#following l#would l#the l#nurse
l#identify l#as l#having l#a l#positive l#impact l # on l#the l# individual's l#mental
l#health?
A) Not l#needing l#others l#for l#companionship
B) The l#ability l#to l#effectively l#manage l#stress
C) A l#family l#history l#of l#mental l#illness
D) Striving l#for l#total l#self-
reliance l # Ans: l#B
Feedback:
Individual l#factors l#influencing l#mental l#health l#include l#biologic l#makeup,
l# autonomy, l # independence, l#self-esteem, l#capacity l#for l#growth, l#vitality,
l# ability l#to l#find l# meaning l#in l#life, l # emotional l#resilience l#or l#hardiness,
l#sense l#of l#belonging, l#reality l#orientation, l#and l#coping l#or l # stress
l#management l# abilities. l# Interpersonal l#factors l#such l#as l#intimacy l#and l#a
l#balance l# of l # separateness l#and l#connectedness l#are l#both l#needed l#for l#good
l#mental l#health, l#and l#therefore l#a l # healthy l#person l#would l# need l#others l#for
l#companionship. l#A l#family l#history l#of l#mental l # illness l#could l#relate l#to l#the
l#biologic l#makeup l#of l#an l#individual, l#which l#may l#have l#a l#negative l # impact
l#on l#an l#individual's l#mental l#health, l#as l#well l#as l#a l#negative l#impact l#on l#an
l#individual's l # interpersonal l#and l# socialñcultural l#factors l#of l#health. l#Total
l#self-reliance l# is l#not l#possible, l # and l#a l#positive l#social/cultural l#factor l#is
l#access l#to l#adequate l#resources.
2. Which l#of l#the l#following l#statements l#about l#mental l#illness l#are l#true? l#Select l#all
l#that l#apply.
A) Mental l#illness l#can l#cause l#significant l#distress, l#impaired l#functioning, l#or
l#both.
B) Mental l#illness l#is l#only l#due l#to l#social/cultural l#factors.
C) Social/cultural l#factors l#that l#relate l#to l#mental l#illness l#include l#excessive
l#dependency l # on l#or l#withdrawal l#from l#relationships.
D) Individuals l#suffering l#from l#mental l#illness l#are l#usually l#able l#to l#cope
l#effectively l#with l # daily l#life.
E) Individuals l#suffering l#from l#mental l#illness l#may l#experience
l#dissatisfaction l#with l # relationships l#and l# self.
Ans: l#A, l#D, l#E
Feedback:
Mental l#illness l#can l#cause l#significant l#distress, l#impaired l#functioning, l#or
l#both. l#Mental l # illness l#may l#be l#related l#to l#individual, l# interpersonal, l#or
l# social/cultural l#factors. l#Excessive l # dependency l#on l#or l#withdrawal l#from
l#relationships l#are l#interpersonal l#factors l#that l# relate l#to l # mental l#illness.
l# Individuals l#suffering l#from l#mental l#illness l# can l#feel l#overwhelmed l#with
l # daily l#life. l#Individuals l#suffering l#from l#mental l#illness l#may l#experience
l#dissatisfaction l#with l # relationships l#and l# self.
,Page
l#1
, 3. Which l#of l#the l#following l#are l#true l#regarding l#mental l#health l#and l#mental l#illness?
A) Behavior l#that l#may l#be l#viewed l#as l#acceptable l#in l#one
l#culture l#is l#always l # unacceptable l#in l#other l#cultures.
B) It l#is l#easy l#to l#determine l#if l#a l#person l#is l#mentally l#healthy l#or l#mentally l#ill.
C) In l#most l#cases, l#mental l#health l#is l#a l#state l#of l#emotional,
l# psychological, l# and l#social l # wellness l#evidenced l#by l#satisfying
l#interpersonal l#relationships, l#effective l#behavior l # and l#coping,
l#positive l#self-concept, l#and l#emotional l#stability.
D) Persons l#who l#engage l#in l#fantasies l#are
l#mentally l # ill. l# Ans: l# C
Feedback:
What l#one l#society l#may l#view l#as l#acceptable l#and l#appropriate l#behavior,
l#another l#society l#may l # see l#that l#as l#maladaptive, l# and l#inappropriate.
l#Mental l#health l#and l#mental l#illness l# are l#difficult l # to l#define l#precisely. l# In
l#most l#cases, l# mental l#health l#is l#a l#state l#of l#emotional, l# psychological, l # and
l#social l#wellness l#evidenced l# by l#satisfying l# interpersonal l#relationships,
l# effective l # behavior l#and l#coping, l#positive l#self-concept, l#and l#emotional
l#stability. l#Persons l#who l#engage l # in l#fantasies l#may l#be l#mentally l#healthy, l#but
l#the l#inability l#to l#distinguish l#reality l#from l#fantasy l # is l#an l#individual l#factor
l#that l#may l#contribute l#to l# mental l#illness.
4. A l#client l#grieving l#the l#recent l#loss l#of l#her l#husband l#asks l#if l#she l#is
l#becoming l#mentally l # ill l#because l#she l#is l#so l#sad. l#The l#nurse's l#best
l#response l#would l# be,
A) ìYou l#may l#have l#a l#temporary l#mental l#illness l#because l#you l#are
l#experiencing l#so l#much l # pain.î
B) ìYou l#are l#not l#mentally l#ill. l#This l#is l#an l#expected l#reaction l#to l#the
l#loss l#you l#have l # experienced.î
C) ìWere l#you l#generally l#dissatisfied l#with l#your l#relationship l#before
l#your l#husband's l # death?î
D) ìTry l#not l#to l#worry l#about l#that l#right l#now. l#You l#never l#know l#what l#the
l#future l#brings.î l # Ans: l# B
Feedback:
Mental l#illness l#includes l#general l#dissatisfaction l#with l#self, l# ineffective
l#relationships, l # ineffective l#coping, l#and l#lack l#of l#personal l#growth.
l#Additionally l#the l#behavior l#must l#not l#be l # culturally l#expected. l#Acute
l#grief l#reactions l#are l#expected l#and l#therefore l#not l# considered l # mental
l#illness. l#False l#reassurance l#or l#overanalysis l#does l#not l#accurately l#address l#the
l#client's l # concerns.